Scheme for case reporting / arranged by W.H. Allchin.

  • Allchin, William Henry, Sir, 1846-1911.
Date:
1887
Catalogue details

Licence: Public Domain Mark

Credit: Scheme for case reporting / arranged by W.H. Allchin. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    II. PERSONAL HISTORY. [DiBtind from present illness.'] Age (real, apparent). Sex, Civil St3>te (single, married, widow—age at marriage). Number and ages of children. Miscarriages. Race (ULOTRICHI or Negroid races, LEIOTRICHI including the Austra- loid, Mongoloid, Xanthochroic, and Melanochroic groups—English, Irish, Scotch, pure or mixed). Place of birth. Subsequent places of abode (town, country, abroad); soil, tem- perature, dryness or humidity, elevation, drainage, ventila- tion, cleanliness, overcrowding. State locality where present illness commenced. Occupation; how long followed ; number of hours employed daily; hygienic condition of place of occupation; exposure to heat, cold, or wet. Eight or left-handed. Exercise; amount and character of; athletics; amusements. Muscular power and extent of endurance of fatigue. Overwork (mental or bodily); anxiety; overlactation; other excesses. Food ; quantity and quality (meat, vegetable, farinaceous, fat). Chief meal. Drink (beer, wine, spirits, tea), amount of taken daily and when. Habitual use of other stimulants or sedatives, as opium or chloral; or of aperients or other drugs. Smoking; amount of, expressed in number of cigars, cigarettes, or pipes per day. Tobacco chewing. Snuff taking. Clothing; suflBciency of, and of bedding; as to wearing flannel. Improprieties of, e.g. tight lacing, high heels. Personal cleanliness; hot or cold bathing, frequency of. Temperament (nervous, excitable, sanguine, bilious, phlegmatic, lymphatic melancholic). Intellectual and moral character. Resemblance to either parent. Idiosyncracies as to food, drugs, <fec. Peculiar habits.
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